Dr. Roshan Kotha in Chula Vista is a dual board-certified rheumatologist and internist who earned her medical degree from UC San Diego School of Medicine in 2007. She completed her internal medicine residency at Scripps Mercy Hospital and a two-year rheumatology fellowship at USC, treating inflammatory conditions that frequently require coordinated physical rehabilitation through providers including Synergy Orthopedics Physical Therapy. Her practice at San Diego Rheumatology occupies Suite 103 at 374 H Street in the Broadway corridor, near the Broadway and H Street commercial intersection in western Chula Vista. A UCSD magna cum laude graduate in Physiology and Neuroscience, she founded a free rheumatology clinic during medical school and currently conducts clinical trials in inflammatory joint disease. Autoimmune conditions including rheumatoid arthritis and psoriatic arthritis elevate cardiovascular risk and create diagnostic overlap with the psychiatric dimensions of chronic pain addressed at Mindpath Health Psychiatrists & Therapists. Highest-complexity protocols include biologic DMARD infusion therapy with TNF-alpha and IL-6 inhibitors, joint aspiration with synovial fluid crystal analysis for gout differentiation, and musculoskeletal ultrasound-guided corticosteroid injection targeting inflamed bursae and tendon sheaths.